The above report was published in the Journal of Hospital Infection in 2001. A brief study looked into the rates of Varicella infection in a southern Indian hospital.
The report suggests that outbreaks of varicella infection occur every 4 to 5 years in the local community setting, however annual outbreaks of nosocomial Varicella infection are seen. A large proportion of the people that are clinically diagnosed with the infection are health care workers.
The report then goes on to suggest that immunisation stratergies among health workers may help ease the annual cycle of Varicella in the hospital, which poses a serious risk to immunocompromised inpatients.
Advantages of this report:
The study was conducted at a tropical hospital. Most articles published about immunisation among health care workers have been done so from temperate regions, and do not take into consideration different factors which affect people living in the tropics. Varicella in temperate regions mostly affects children, whereas in tropical regions, both children and adults are at a similar risk of contracting the virus. Thus it may be suggested that only health workers who have contact with neo-nates, infants and children be immunised in these regions, while in tropical regions all health workers should be immunised.
The report is suited to the topic of our wiki project in that it specifically investigates the prevalence of infected health workers who have not been immunised, and outlines the consequenses of spreading infection to patients.
Disadvantages of this report:
The study conducted in this report was isolated to one hospital only. A larger pool of tropical hospitals should be included in the study to validate any findings.
It states that health workers at this hopital are mostly residents of the staff hostel. Infection is more likely to be spread among people living in close proximity to one another. It would be interesting to see if a similar study conducted at a hospital where the majority of staff did not reside on campus grounds produced a similar result.
There is only a suggestion that vaccination may benefit in the control of varicella infection at the hospital. Further study is necessary to confirm whether this is the case by vaccinating staff members at risk and comparing outbreaks in the pre and post-immunised years.
The Infuenza vaccination among healthcare workers discussion paper (above) was written and published by the influenza specialist group, made up of medical and scientific specialists from Australia and New Zealand. It outlines the poor vaccination rate among healthcare workers (HCW) and provides some of the main reasons why vaccination rates are low among this population, the benefits of influenza vaccination among HCW, and suggests methods of how vaccination rates can improve.
Hi Ross, The Influenza vaccination document is fantastic. You have found an article that speaks directly on our topic, is regionally oriented and is from a trustworthy source. There are many key points that could be referenced in our final show case. Very well done! -Jane. Hey Ross this document is definetly a good find as it relates specifically to what we need, definetly should use this in the showcase.
Jonathan
Comment by Thai:
Very interesting article!, i concur with jane and jonathan that this information should be used in the final show case. This would be great to illustrate to potential or current healthcare workers to why they would need vaccinations.
3.
The above video may or may not be of use. After posting it I found criticism on the Dr presenting which suggests that not all points are covered in the video. Please ignore
The above link is another Remote health atlas document from the NT government website. The remote health atlas was initiated to provide remote heath workers with information on different health related topics. The vaccines document covers information regarding funding, resonsibilities of health workers, and procedures which should be followed. I think we can and should use the table which outlines the funding for different groups. The occupational risk group is funded by employers or vaccines are self funded. I'm trying to find information on protocols from different work places on which vaccines they fund, however this is difficult!!
Hey Ross that table in the document is a really good find regarding the funding for different groups this could probably be used in our showcase under the government funding and how the vaccines are covered. Good effort chief.
Above is the RDH infection control manual. It is a 300 odd page document which outlines protocols and procedures relating to many infection control matters at the hospital. The document itself is huge, however there is 2 or so pages relating to staff immunisation recommendations (section 9), and it is also stated that the recommended vaccinations are provided free of charge to hospital staff. Additionally in the management of infectious diseases section (pg177), each disease has a brief blurb on the prevention of health care workers contracting the disease through vaccination and other means.
This is exactly what I have spent hours trying to find, however I downloaded it off the RDH intranet so am not sure if we can use it for the final page for copyright/privacy reasons. What do you guys think??
Ross
Hey Ross just had a brief flick through its a pretty good document section 9 should go on the final page as it clearly outlines which diseases healthcare workers should be vaccinated against and both of our diseases come up. See what everyone elso thinks but we should take bits out off section 9 and refernce them.
JONATHAN
Wow! What a find. You are lucky that you have access to that type of information. I agree with you both, take out the bits that are relivant. Like you said, its a mammoth document! Jane.
I've made a table from section 9 and put in the final showpiece page. It still needs some adjusting and referencing, but I didn't want to link the actual document just in case.
Ross
Above is just a simplified pdf version of the national immunisation program schedule, according to age. I think it should be used as a link to direct readers as to what vaccines are recommended.
Although it does not relate to health workers, I still think it would be beneficial to the final page, before focusing on the HCW immunisation.
Hi Ross,
This link is the same one I provided under "Appraisal #3" listing the vaccines covered by the Australian government according to age. Either way, I found it to be a great resource that shows us what is covered and what isn't
- Gregory
7. NT immunisation schedules
The above link is the NT government version of the schedule. Each state and teritory adopts their own schedule, which is related to the needs of the area. Another good link for the final page as it is NT related.
8. Occupational Risk Groups
The link above is directed to the immunisation handbook which describes the vaccines recommended for health professionals.I think this should be used in the final showpiece also, as the more interactive it is, the more interesting readers will find it. What do you guys think?
Hey this is useful, especially when we can compare it to the vaccines recommended for health professional in the NT. The Australian immunisation recommendations are different to the NT. Thuy
Hey Ross, The links under 6,7&8 are very good resources. I think these links can be incorporated into the final wiki as is - they will give the wiki some more links to show that we are using interactive tools. Jane.
Final Page Layout.
Vaccinations requried by the NT Government
The National Immunisation Program (NIP) schedule(1) lists vaccinations for all people that are recommended by the federal government. Each state and territory receives funding from the federal government to purchase various combinations of vaccinations on the schedule, according to geographical and demographical influences (2). In addition, the 9th edition of the Immunisation Handbook recommends vaccinations specifically for occupational risk groups (3), including health workers (see table below).
Table 1: Recommended vaccinations for HCW from the Immunisation
The Northern Territory government has adopted it's own immunisation schedules(4), however this does not include those recommended for HCW. Instead, the NT government leaves the immunisation of HCW and the costs associated with immunisation up to employers of such people (5). Each health care centre, hospital, other organisation or business that employs HCW may have their own immunisation requirements, and each may offer different funding for the immunisation of their staff. The Royal Darwin Hospital has it's own infection control guidelines (6), with a section dedicated to immunisation and testing requirements of its employee's. This is summarised in table below.
Table 2: Royal Darwin hospital recommendations of staff immunisation
It is important to note that the Northern Territory is associated with a higher risk of contracting Tuburculosis (see Incidence section below). Information on Tuberculosis and Varicella are listed below.
The above report was published in the Journal of Hospital Infection in 2001. A brief study looked into the rates of Varicella infection in a southern Indian hospital.
The report suggests that outbreaks of varicella infection occur every 4 to 5 years in the local community setting, however annual outbreaks of nosocomial Varicella infection are seen. A large proportion of the people that are clinically diagnosed with the infection are health care workers.
The report then goes on to suggest that immunisation stratergies among health workers may help ease the annual cycle of Varicella in the hospital, which poses a serious risk to immunocompromised inpatients.
Advantages of this report:
Disadvantages of this report:
2.
The Infuenza vaccination among healthcare workers discussion paper (above) was written and published by the influenza specialist group, made up of medical and scientific specialists from Australia and New Zealand. It outlines the poor vaccination rate among healthcare workers (HCW) and provides some of the main reasons why vaccination rates are low among this population, the benefits of influenza vaccination among HCW, and suggests methods of how vaccination rates can improve.
Hi Ross,
The Influenza vaccination document is fantastic. You have found an article that speaks directly on our topic, is regionally oriented and is from a trustworthy source. There are many key points that could be referenced in our final show case. Very well done!
-Jane.
Hey Ross this document is definetly a good find as it relates specifically to what we need, definetly should use this in the showcase.
Jonathan
Comment by Thai:
Very interesting article!, i concur with jane and jonathan that this information should be used in the final show case. This would be great to illustrate to potential or current healthcare workers to why they would need vaccinations.
3.
The above video may or may not be of use. After posting it I found criticism on the Dr presenting which suggests that not all points are covered in the video. Please ignore
4.
The above link is another Remote health atlas document from the NT government website. The remote health atlas was initiated to provide remote heath workers with information on different health related topics. The vaccines document covers information regarding funding, resonsibilities of health workers, and procedures which should be followed. I think we can and should use the table which outlines the funding for different groups. The occupational risk group is funded by employers or vaccines are self funded. I'm trying to find information on protocols from different work places on which vaccines they fund, however this is difficult!!
Hey Ross that table in the document is a really good find regarding the funding for different groups this could probably be used in our showcase under the government funding and how the vaccines are covered. Good effort chief.
Jonathan
5.
Above is the RDH infection control manual. It is a 300 odd page document which outlines protocols and procedures relating to many infection control matters at the hospital. The document itself is huge, however there is 2 or so pages relating to staff immunisation recommendations (section 9), and it is also stated that the recommended vaccinations are provided free of charge to hospital staff. Additionally in the management of infectious diseases section (pg177), each disease has a brief blurb on the prevention of health care workers contracting the disease through vaccination and other means.
This is exactly what I have spent hours trying to find, however I downloaded it off the RDH intranet so am not sure if we can use it for the final page for copyright/privacy reasons. What do you guys think??
Ross
Hey Ross just had a brief flick through its a pretty good document section 9 should go on the final page as it clearly outlines which diseases healthcare workers should be vaccinated against and both of our diseases come up. See what everyone elso thinks but we should take bits out off section 9 and refernce them.
JONATHAN
Wow! What a find. You are lucky that you have access to that type of information. I agree with you both, take out the bits that are relivant. Like you said, its a mammoth document!
Jane.
I've made a table from section 9 and put in the final showpiece page. It still needs some adjusting and referencing, but I didn't want to link the actual document just in case.
Ross
6.
Above is just a simplified pdf version of the national immunisation program schedule, according to age. I think it should be used as a link to direct readers as to what vaccines are recommended.
Although it does not relate to health workers, I still think it would be beneficial to the final page, before focusing on the HCW immunisation.
Hi Ross,
This link is the same one I provided under "Appraisal #3" listing the vaccines covered by the Australian government according to age. Either way, I found it to be a great resource that shows us what is covered and what isn't
- Gregory
7.
NT immunisation schedules
The above link is the NT government version of the schedule. Each state and teritory adopts their own schedule, which is related to the needs of the area. Another good link for the final page as it is NT related.
8.
Occupational Risk Groups
The link above is directed to the immunisation handbook which describes the vaccines recommended for health professionals.I think this should be used in the final showpiece also, as the more interactive it is, the more interesting readers will find it. What do you guys think?
Hey this is useful, especially when we can compare it to the vaccines recommended for health professional in the NT. The Australian immunisation recommendations are different to the NT.
Thuy
Hey Ross, The links under 6,7&8 are very good resources. I think these links can be incorporated into the final wiki as is - they will give the wiki some more links to show that we are using interactive tools.
Jane.
Final Page Layout.
Vaccinations requried by the NT Government
The National Immunisation Program (NIP) schedule(1) lists vaccinations for all people that are recommended by the federal government. Each state and territory receives funding from the federal government to purchase various combinations of vaccinations on the schedule, according to geographical and demographical influences (2). In addition, the 9th edition of the Immunisation Handbook recommends vaccinations specifically for occupational risk groups (3), including health workers (see table below).
Table 1: Recommended vaccinations for HCW from the Immunisation
Handbook 9th ed.
[[image:file/view/table1..JPG/157057467/table1..JPG caption="table1..JPG"]]The Northern Territory government has adopted it's own immunisation schedules(4), however this does not include those recommended for HCW. Instead, the NT government leaves the immunisation of HCW and the costs associated with immunisation up to employers of such people (5). Each health care centre, hospital, other organisation or business that employs HCW may have their own immunisation requirements, and each may offer different funding for the immunisation of their staff. The Royal Darwin Hospital has it's own infection control guidelines (6), with a section dedicated to immunisation and testing requirements of its employee's. This is summarised in table below.
Table 2: Royal Darwin hospital recommendations of staff immunisation
[[image:file/view/tab2.JPG/157058421/tab2.JPG align="center" caption="tab2.JPG"]]
It is important to note that the Northern Territory is associated with a higher risk of contracting Tuburculosis (see Incidence section below). Information on Tuberculosis and Varicella are listed below.